Individual
MS. KRISTIN MICHELLE WYGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7935 77TH AVE, GLENDALE, NY 11385-7522
(917) 373-3240
Mailing address
7935 77TH AVE, GLENDALE, NY 11385-7522
(917) 373-3240
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1553094211
NY
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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